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Clinical Operations Supervisor

Location: Portland, OR
Job Code: 336
# of Openings: 1

Description

Clinical Operations Supervisor

AllMed Healthcare Management’s mission is to improve the quality and integrity of healthcare by providing independent medical review services that help payers and providers deliver better health outcomes. We provide pre-authorization and appeals decision-making services through PeerPoint®, AllMed’s state-of-the-art Medical Review Portal.  We partner with over 300 leading US health insurance and hospital organizations and have maintained consistent 20% annual growth, through our commitment to the highest quality, client satisfaction, and technology innovation.  We have undergone a lean transformation, driving continuous improvement in our performance.  As a result, AllMed’s client list includes many of the nation’s top names in healthcare.

We are seeking a Clinical Operations Supervisor to join our Operations team. This is a full-time opportunity that is currently working remotely, but will ultimately be working at our office in downtown Portland, Oregon.

Position Description

This position is responsible for working with the Department Manager or Director to supervise and manage daily production to meet or exceed targets for quality, timeliness, and productivity. The person in this role helps plan and execute Department activities; assists with client-specific projects as well as internal projects. Additionally, this person will adapt AllMed’s lean tools to drive continuous improvement in quality, capacity and operational excellence including setting metrics and targets, visual management, standard work, job aids, Gemba, PDCA, etc. The Clinical Operations Supervisor provides leadership to new and existing frontline staff in the areas of training, increased capacity, flexibility, and process improvement. This position works collaboratively with medical directors, clinical operations management, sales and IT staff to identify and execute improvement initiatives that drive company performance.

Duties and Responsibilities

  • Manage daily end-to-end production from staff
  • Assist Department Manager in balancing daily resources to ensure optimal case flow
  • Check call-ins for staffing and adjust labor plan accordingly
  • Time-Card Management
  • Monitor compliance to breaks
  • Lead team stand-ups
  • Oversee production start-up
  • Escalate problems to Manager/Director/HR
  • Identify and solve problems through observation and analysis
  • Monitor hour-by-hour performance (Takt) using visual management tools
  • Reinforce and correct performance as needed
  • Train front-line staff as needed
  • Create/adjust staffing schedule
  • Work in production when needed (up to 15%)
  • Maintain effective rapport with team members, other leaders, peers, client professional support staff, administrators, and physicians’ offices
  • Actively support corporate strategic plans
  • Maintain confidentiality and privacy as defined by state, federal, and company regulations and policies

Knowledge, Skills, Abilities, and Experiences

  • As an essential part of the AllMed team, a Supervisor should be an individual who can grow and seeks continuous improvement on a personal level.  The following are traits essential to the success of this role:
    • Customer-focused
    • Leads with humility
    • Respects the individual
    • Process focused
    • Comfortable with data and the scientific method
    • Seeks excellence and assures quality at the source
    • Thinks systemically
    • Creates constancy of purpose
    • Organized
    • Demonstrates professionalism under pressure
    • Demonstrated subject matter expertise in the subject of departmental focus
  • Experience leading and collaborating with other Leads, Supervisors and Managers
  • Experience in or knowledge of the utilization review process (prior authorization, concurrent review, appeal, external appeal)
  • Experience in or knowledge of medical editing
  • Supervision of direct reports and documenting performance issues
  • Ability to provide constructive feedback to team members
  • Ability to work in a culture of continuous improvement, identifying opportunities and collaborating with staff to deliver projects to completion
  • Bachelor’s degree preferred
  • Lean management experience preferred

 

BENEFITS

AllMed offers generous compensation and our competitive benefits program includes comprehensive medical, vision and dental care, matching 401K, paid time off, HSA accounts, disability coverage, and other benefits that provide for our employees.

 

AllMed provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, AllMed complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.





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(800) 400-9916
111 SW Fifth Ave., Suite 1400, Portland, OR 97204
AllMed Healthcare Management, Inc. All rights reserved.

AllMed is an independent review organization with a panel of 400 physician peer reviewers who are licensed, board-certified and in active practice, covering more than 80 ABMS specialties and sub-specialties. AllMed offers medical, copy-editing and customer resources that enable clients to improve quality of care and patient safety.